Individual provider Active NPI

Steven Mark Fletcher, M.D.

  • Otolaryngology Physician
  • Homestead, FL
National Provider Identifier
1063412781
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME46707 Issued in FL
Practice address
925 NE 30TH Ter
# 214
Homestead, FL 33033-7613
Phone
(305) 245-5881
Fax
(786) 533-1680
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X ME46707 FL
Facial Plastic Surgery Physician 207YS0123X ME46707 FL
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X ME46707 FL
Otolaryngic Allergy Physician 207YX0602X ME46707 FL
Otolaryngology Physician 207Y00000X ME46707 FL Primary

Addresses

Primary practice location

925 NE 30TH Ter
# 214
Homestead, FL 33033-7613

Mailing address

925 NE 30TH Ter
# 214
Homestead, FL 33033-7613
Phone (305) 245-5881

Other identifiers 1

IdentifierTypeStateIssuer
048348600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stevenfletcher@sfa.allscriptsdirect.net Florida ENT Associates, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME46707FLMDOtolaryngic Allergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida ENT Associates, Inc. Otolaryngology CurrentSince Jan 17, 2022 Accepting new patients

Locations

925 NE 30th Ter
Ste 214
Homestead, FL 33033
Phone (305) 245-5881

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1063412781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 NE 30TH TER",
            "address_2": "# 214",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337613",
            "telephone_number": "305-245-5881",
            "fax_number": "786-533-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 NE 30TH TER",
            "address_2": "# 214",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337613",
            "telephone_number": "305-245-5881",
            "fax_number": "786-533-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "STEVEN",
        "middle_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "FL",
            "license": "ME46707",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "FL",
            "license": "ME46707",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "FL",
            "license": "ME46707",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "FL",
            "license": "ME46707",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME46707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048348600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stevenfletcher@sfa.allscriptsdirect.net",
            "affiliation": "Y",
            "affiliationName": "Florida ENT Associates, Inc.",
            "address_1": "925 NE 30th Ter",
            "address_2": "# 214",
            "city": "Homestead",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330337613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.